Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Bunn

Individual provider Family Nurse Practitioner · NPI 1891327458

Marissa Bunn is a Nurse Practitioner in Brookfield, Wisconsin. Qualified in 2019, 7 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

17000 W North Ave Ste 107W
Brookfield, WI 53005-4423
Phone: (414) 785-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22370 Bluemound Rd, Waukesha, WI 53186 — (414) 785-7770

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9834 (WI)

Record details

NPI number1891327458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address17000 W North Ave Ste 107w, Brookfield, WI 53005-4423

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brookfield